No Functional Impairment

back to homepage

Approval Status

  • Approval Status: Approved
  • Example Task Force: 6/18/2015, 6/15/2017
  • SDWG: 7/9/2015
  • SDWG C-CDA R2.1 Upgrade: 7/6/2017

C-CDA 2.1 Example:

  • Functional Status Section 2.16.840.1.113883.10.20.22.2.14 and 2.16.840.1.113883.10.20.22.2.14:2014-06-09
  • Functional Status Result Observation 2.16.840.1.113883.10.20.22.4.67 and 2.16.840.1.113883.10.20.22.4.67:2014-06-09

Reference to full CDA sample:

  • Functional Status in empty CCD

Validation location

Comments

  • This is an example of no functional impairment. It only illustrates one potential templated within the functional status section and was originally prepared for the ONC 2014 170.314(b)(2) Transitions of care - M) Functional and Cognitive Status. Note that there are significant changes to functional and cognitive status in C-CDA 2.1 (including section breakout and deprecation of certain templates). This example represents the proper way to send no functional impairment in C-CDA R2.1.

Custodian

  • Brett Marquard, brett@riverrockassociates.com (GitHub: brettmarquard) and John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)

Keywords

  • no impairment

Permalink

Links

 

Example: download example view on GitHub 

<section>
    <!-- This is an example of how to affirmatively assert there is no functional impairment -->
    <!-- Note that in C-CDA 1.1, functional and cognitive status (mental) are within the same section -->
    <!-- If no information is known (i.e. assessment not performed), then a pattern of null entries would be more appropriate -->
    <!-- This example uses terminology to assert 'No Impairment' rather than 'Impairment' and negationInd='true' (as value.negationInd) since template design didn't include guidance on negation. --> 
    <!-- The test data also included the No Impairment code. -->
    <templateId root="2.16.840.1.113883.10.20.22.2.14"/>
    <templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/>
    <code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
        displayName="Functional status assessment note"/>
    <title>Functional Status</title>
    <!-- Narrative organized as a single table. Some systems may prefer simple paragraph-->
    <text>
        <table>
            <thead>
                <tr>
                    <th>Assessment</th>
                    <th>Date</th>
                    <th>Results</th>
                    <th>Comments</th>
                </tr>
            </thead>
            <tbody>
                <tr ID="FS_Narrative1">
                    <td ID="FS_Type1">Functional Status</td>
                    <td>August 15 2012, 5:32pm</td>
                    <td ID="FS_Finding1">No impairment</td>
                    <td/>
                </tr>
            </tbody>
        </table>
    </text>
    <entry>
        <observation classCode="OBS" moodCode="EVN">
            <!-- Template for Functional Status Result Observation. Note other templates may apply. -->
            <!-- We chose to use terminology to state 'no impairment' over negation since the C-CDA Functional Status template design didn't include guidance on negation-->
            <templateId root="2.16.840.1.113883.10.20.22.4.67"/>
            <templateId root="2.16.840.1.113883.10.20.22.4.67" extension="2014-06-09"/>
            <id root="e4f9eb37-52ca-4e95-90f3-570dace107e6"/>
            <code code="54522-8" displayName="Functional status" codeSystem="2.16.840.1.113883.6.1"
                codeSystemName="LOINC">
                <originalText>
                    <reference value="#FS_Type1"/>
                </originalText>
            </code>
            <text>
                <reference value="#FS_Narrative1"/>
            </text>
            <statusCode code="completed"/>
            <effectiveTime>
                <low value="20120815173215-0500"/>
            </effectiveTime>
            <value xsi:type="CD" code="66557003" codeSystem="2.16.840.1.113883.6.96"
                codeSystemName="SNOMED CT" displayName="Disability evaluation, normal, no disability, no impairment">
                <originalText>
                    <reference value="#FS_Finding1"/>
                </originalText>
            </value>
        </observation>
    </entry>
</section>

  1. C-CDA Example Search Help

    C-CDA Example Search Results
    This screen displays the results of executing the example search criteria against the existing examples recorded in the example database.

  2. Search Criteria Panel

    This panel allow you to further refine your queries and narrow the results

  3. Text Search Words

    Use this field to enter words related to your search. These words can appear in the title, the comments or as part of a special list of keywords associated with the example. The search words should be entered with spaces separating the items.

  4. Filter by example status

    By selecting the various statuses, the search results can be limited to only the example that are set to the selected status(es). By removing all status selections, the filtering is removed and examples from all statuses will be returned (based on any other filtering).

  5. Select only ONC Certified examples

    These are samples referenced in a government rule or certification companion guide.

  6. Execute the search based on the criteria entered (or retrieve all examples if no criteria specified).

  7. The number of results that match the query parameters can be found here.

  8. Use this link to jump back to the initial page of the application (that lists the sections).

  9. This columns list the names of the examples that match the criteria (and the comment for each example).

  10. This columns lists the area in the C-CDA specification (the specification is broken into distinct topics for the various exchangeable documents, the common header, and the sections that occur within the exchangeable documents) that the example demonstrates.

  11. This columns lists the state of the example in the example verification and approval process.

  12. You can select to download the examples directly or navigate to page with the full detailed description of the example.

  13. Tour Complete

    Return to the C-CDA Example Search Results page.